California request form

California request formDSV US California Consumer Privacy Act Request Name (required): I am or have been in the last 12 months a California resident (required): Select Address (required): Email (required): Phone Number (required): Please describe in what capacity or context you have interacted with us to date in which you may have provided personal information to us: (Check All Boxes that Apply) Employee Job Applicant Independent Contractor or Consultant Website User App User Individual Customer (non-entity) Service Provider, Vendor or Supplier Other; please specify Select one type of request below to identify what request you are pursuing and, in the space provided, include details of the requested information. For further information regarding the rights of individuals in relation to their personal information/data, please see our US Employee Privacy Policy. Request to Know : Categories of personal information collected from or about me since 1/1/2022. Categories of sources from which the personal information was collected. Business purpose for which the personal information was used. Categories of third parties to which the personal information was disclosed since 1/1/2022. Access Request : Please provide me with the specific pieces of personal information collected from or about me since 1/1/2022. Request to Correct : Please correct personal information you have collected from me (enter a short description of the personal information you believe is incorrect, along with the correct personal information, in the box below): Are you sure you want us to correct the personal information you have identified? Select Request to Limit Use and Disclosure of Sensitive Personal Information: Please limit your use and/or disclosure of my sensitive personal information to only those purposes expressly prescribed by the California Privacy Rights Act Select Request for Deletion: Please delete all personal information that you have collected from me. Are you sure you want us to permanently delete all your personal information that we have collected from you? Select Request to Opt-Out of Sale/Sharing of Personal Information: I do not want my personal information to be sold. Please cease and refrain from selling my personal information I do not want my personal information to be shared with a third party for cross-context behavioral advertising purposes. Please cease and refrain from sharing my personal information for such purposes. DSV US California Consumer Privacy Act Request Template 09/18/2023Page 2